Dream Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE010279 Issued in GA

Legal business name

DREAM PHARMACY, INC.

Doing business as

Yoo Pharmacy Duluth

Practice address

3610 Peachtree Industrial Blvd
Ste 400
Duluth, GA 30096-4843

Phone

(770) 299-1971

Fax

(770) 299-1973

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Byung Yoo

Title

Owner; Chief Pharmacist

Phone

(770) 299-1971

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• YOO PHARMACY DULUTH Doing business as

Tax ID family

Dream Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dream Pharm Inc

  dba Yoo Pharmacy Duluth

  • Pharmacy
  • Duluth, GA
  • NPI 1215381652
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1467807651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964843",
            "telephone_number": "770-299-1971",
            "fax_number": "770-299-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964843",
            "telephone_number": "770-299-1971",
            "fax_number": "770-299-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "BYUNG",
        "authorized_official_title_or_position": "OWNER; CHIEF PHARMACIST",
        "authorized_official_telephone_number": "770-299-1971"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE010279",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOO PHARMACY DULUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Duluth, GA
• Providers in Duluth, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.